ArticleJAMA internal medicine2013
Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.
Article in JAMA internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03325244 (The Impact of Night Float on Anesthesiology Resident Sleep Patterns), which is not on this map. Cited by 68 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Impact of Night Float on Anesthesiology Resident Sleep Patterns
Who cites it
68 citing papers in PubMed, 6 syntheses or guidelines pooled it, 156 citations in OpenAlex.
- Depression and depressive symptoms in physicians prior to the COVID-19 pandemic: a systematic review and meta-analysis.Frontiers in psychiatry · 2025Pooled it
- Association Between Physician Depressive Symptoms and Medical Errors: A Systematic Review and Meta-analysis.JAMA network open · 2019Pooled it
- Pooled it
- The Effect of Restricting Residents' Duty Hours on Patient Safety, Resident Well-Being, and Resident Education: An Updated Systematic Review.Journal of graduate medical education · 2015Pooled it
- What effects have resident work-hour changes had on education, quality of life, and safety? A systematic review.Clinical orthopaedics and related research · 2015Pooled it
- A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes.Annals of surgery · 2014Pooled it
- Impact of an Asynchronous Fatigue Mitigation Curriculum for Graduate Medical Education.ATS scholar · 2026Article
- Oculofacial plastic surgery fellowship director perspectives on accreditation council for graduate medical education (ACGME) accreditation.Frontiers in ophthalmology · 2026Article
- Understanding resilience in medical interns through ecological momentary assessments, predictive modelling, and topic analysis.Communications medicine · 2025Article
- Accreditation Council for Graduate Medical Education Work Hour Requirements: A Review of Recent Evidence.Journal of graduate medical education · 2025Article
- Medical Students on Their Internal Medicine Clerkship Experience Short Sleep Duration.ATS scholar · 2025Article
- Longitudinal tracking of healthcare professionals: a methodological scoping review.BMC medical research methodology · 2025Article
- Findings of the Resident Workload Using Mobile Application in Japan.JMA journal · 2025Article
- Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- From Healer to Harmer: Preparing Senior Medical Students for Patient Harm Events in a Transition-to-Residency Course.MedEdPORTAL : the journal of teaching and learning resources · 2024Article
- Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums.BMJ open · 2022Article
- Assessment of Surgeon Performance of Advanced Open Surgical Skills Using a Microskills-Based Novel Curriculum.JAMA network open · 2022Article
- A retrospective observational study analyzing work and study motivation based on the work environment of 15,677 Japanese clinicians in 2016.Scientific reports · 2022Observational
- The development of an eye movement-based deep learning system for laparoscopic surgical skills assessment.Scientific reports · 2022Article
- Flourishing in Healthcare Trainees: Psychological Well-Being and the Conserved Transcriptional Response to Adversity.International journal of environmental research and public health · 2022Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 3 countries.
Funding
Abstract
importanceIn 2003, the first phase of duty hour requirements for US residency programs recommended by the Accreditation Council for Graduate Medical Education (ACGME) was implemented. Evidence suggests that this first phase of duty hour requirements resulted in a modest improvement in resident well-being and patient safety. To build on these initial changes, the ACGME recommended a new set of duty hour requirements that took effect in July 2011.
objectiveTo determine the effects of the 2011 duty hour reforms on first-year residents (interns) and their patients.
designAs part of the Intern Health Study, we conducted a longitudinal cohort study comparing interns serving before (2009 and 2010) and interns serving after (2011) the implementation of the new duty hour requirements.
settingFifty-one residency programs at 14 university and community-based GME institutions.
participantsA total of 2323 medical interns.
main outcome measuresSelf-reported duty hours, hours of sleep, depressive symptoms, well-being, and medical errors at 3, 6, 9, and 12 months of the internship year.
resultsFifty-eight percent of invited interns chose to participate in the study. Reported duty hours decreased from an average of 67.0 hours per week before the new rules to 64.3 hours per week after the new rules were instituted (P < .001). Despite the decrease in duty hours, there were no significant changes in hours slept (6.8 → 7.0; P = .17), depressive symptoms (5.8 → 5.7; P = .55) or well-being score (48.5 → 48.4; P = .86) reported by interns. With the new duty hour rules, the percentage of interns who reported concern about making a serious medical error increased from 19.9% to 23.3% (P = .007). CONCLUSIONS AND RELEVANCE: Although interns report working fewer hours under the new duty hour restrictions, this decrease has not been accompanied by an increase in hours of sleep or an improvement in depressive symptoms or well-being but has been accompanied by an unanticipated increase in self-reported medical errors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.